Provider Demographics
NPI:1174296651
Name:OROSCO, SASHA (RVS)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:OROSCO
Suffix:
Gender:F
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24618 WINE ROSE PATH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2266
Mailing Address - Country:US
Mailing Address - Phone:210-251-2024
Mailing Address - Fax:210-742-9697
Practice Address - Street 1:718 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4768
Practice Address - Country:US
Practice Address - Phone:210-251-2024
Practice Address - Fax:210-742-9697
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX001150852471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography